Provider Demographics
NPI:1912233479
Name:THOMPSON, KAREN MARIE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 BIRCH LN
Mailing Address - Street 2:
Mailing Address - City:HAWLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18428-8209
Mailing Address - Country:US
Mailing Address - Phone:610-970-5234
Mailing Address - Fax:570-507-8441
Practice Address - Street 1:1258 PURDYTOWN TPKE
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:PA
Practice Address - Zip Code:18438-6793
Practice Address - Country:US
Practice Address - Phone:610-970-5234
Practice Address - Fax:570-507-8441
Is Sole Proprietor?:No
Enumeration Date:2009-10-19
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005055101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health